Individual
HALEY MARIE BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
3718 BRIGHTON PL, GREENWOOD, AR 72936-6850
(479) 206-3797
Mailing address
3718 BRIGHTON PL, GREENWOOD, AR 72936-6850
(479) 206-3797
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA 3839
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1992108260
—
AR
Enumeration date
10/01/2014
Last updated
01/16/2015
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